| Lowndes Medical Clinic | |
|
56 Dutch Ln Columbus MS 39702-5500 | |
| (662) 329-3808 | |
| (662) 329-3873 |
| Full Name | Lowndes Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 56 Dutch Ln, Columbus, Mississippi |
| Authorized Official Name and Position | Gerald Kimbrough (CBO MANAGER) |
| Authorized Official Contact | 6623774685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowndes Medical Clinic 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Lowndes Medical Clinic 56 Dutch Ln Columbus MS 39702-5500 Ph: (662) 329-3808 |
| NPI Number | 1801900550 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801900550 | NPI | - | NPPES |
| 09013700 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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